Individual
ANNAMARIE PEMBERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
6918 RIDGE RD, ROSEDALE, MD 21237-3854
(443) 442-1568
Mailing address
815 RITCHIE HWY STE 205, SEVERNA PARK, MD 21146-4164
(614) 746-3708
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
LC8810
MD
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
02/22/2017
Last updated
07/02/2020
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